Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IRVIN CHARLES JACKSON
Active Sole ProprietorIRVIN CHARLES JACKSON is a Bus healthcare provider located in SHUBUTA, Mississippi. NPI 1851903264 is currently active in the NPPES registry. Verify at CMS.
Bus · SHUBUTA, MS
Registration Details
- NPI Number
- 1851903264
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 18, 2020 (5.800216533876 yrs)
- Last Updated
- Sep 2, 2020
- License
-
8006822128 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
327 EAST STREETSHUBUTA, MS, 39360Browse MS providers · Browse ZIP 39360
- Phone
- 6015774018
- Primary Specialty
-
Bus
343900000X
- Additional Specialty
- Bus
Other Bus Providers in SHUBUTA, MS
| Name | Credential | NPI |
|---|---|---|
| DEBRA ELOISE BENDER | — | 1053882415 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.